@article {Mandel860, author = {Keith E Mandel and Steven H Cady}, title = {Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice?}, volume = {31}, number = {12}, pages = {860--866}, year = {2022}, doi = {10.1136/bmjqs-2021-014447}, publisher = {BMJ Publishing Group Ltd}, issn = {2044-5415}, URL = {https://qualitysafety.bmj.com/content/31/12/860}, eprint = {https://qualitysafety.bmj.com/content/31/12/860.full.pdf}, journal = {BMJ Quality \& Safety} }